DCA85IA019

NTSB incident investigation · Boeing 747-123 · Detroit, MI · April 25, 1985

Incident · Minor injuriesIncident investigationFinal report
Date
April 25, 1985, 10:45 local (15:45 UTC)
Place
Detroit, MI
Injuries
42 minor, 439 uninjured
Damage
No damage
Phase of flight
Standing
Aircraft
N9663Boeing 747-123
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
NTSB office
Major Investigations Division
FAA report
19850425077599I
Case key
15843

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Airframe/component/system failure/malfunctionStanding - pre-flight
Passenger compartment light(s) - overtemperatureCause
Maintenance,service bulletin/letter - not followedCompany/operator managementFactor
Fuselage,cabin - smoke
Emergency procedure - performed
Misc eqpt/furnishings,slides - inoperativeFactor
Maintenance,installation - improperCompany maintenance personnelFactor
Door,emergency exit - improperFactor
Maintenance,installation - improperCompany maintenance personnelFactor
Door,emergency exit - jammedFactor

Analysis

The flt crewmembers of the jumbo jet were preparing to start the engs when flt attendants (f/a's) in the forward cabin detected a faint odor prior to closing door 1L. The source could not be determined, so the door was closed in preparation for a pushback. Shortly thereafter, smoke was discovered in the vicinity of the overhead bin at row 16. The captain was notified & he ordered that 'occupants evacuate, if there is a fire onboard.' The jetway was brought back to door 1L. The smoke dissipated; thus, the f/a's at doors 1R, 2L & 2R did not open their doors. However, the f/a's at the other 6 doors were unaware of the situation & continued the evacuation. The ramps at doors 3L & 3R did not inflate & door 5R jammed halfway open. The ramp packs for 3R & 3L were improperly mounted. The 5R pack board was made for a left hand door & the lanyard was not connected to the bottom panel pulley. An exam revealed a ballast for an overhead flourescent light, pn 69-33C, had overheated & melted the plastic case.

Aircraft

Registration
N9663
Reported as
Boeing 747-123
Category
Airplane
Serial number
SN20102
Airframe hours
38,827
Engine
P&W JT9, 14,500 lbs thrust, turbo fan
Damage
No damage
Fire
On-Ground
Flight
Part 121
Operator
United Air Carriers, doing business as National Airlines, Inc.
Registered owner
United Air Carriers
Airworthiness certificate
Standard, Normal
Departed
DTW · Detroit, MI
Destination
LAS · Las Vegas, NV
Flight plan
IFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
46
Certificate
Airline transport
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
12,000 total · 600 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 13 knots
Visibility
10 statute miles
Lowest ceiling
2,300 ft broken
Temperature
52 °F, dew point 48 °F
Altimeter
29.00 inHg
Observed at
DTW, 5 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.